Multiple-choice questions (MCQS) Prometric MCQS for general practitioner (GP) Doctor 試験
Question No : 1
Condition not associated with increased alpha fetoprotein:
Down syndrome associated with DECREASED levels of alpha fetoprotein. Not increased.
Question No : 2
A 47-year old man comes to the emergency department with fever, headache, photophobia, and a stiff neck.
What is the next best step in the management of this patient?
When you suspect bacterial meningitis, administer antibiotics quickly. Further, do blood cultures stat simultaneously with a lumbar puncture (LP), or immediately prior. Penicillin can never be used as empiric therapy for meningitis; it is not sufficiently broad in coverage to be effective empiric therapy. In this case, perform the LP.
Question No : 3
A 24-year-old male with a history of gang violence presents to the emergency room with 3 stab wounds to the abdomen. He was intubated in the field for airway protection and is barely conscious. Blood pressure is 70/30 mm Hg and pulse is 140/min. On exam, 3 penetrating wounds covered by abdominal pressure pads are noted.
Which of the following is the best next step in management of this patient?
This patient is in hemorrhagic shock and requires immediate resuscitation. Of the choices listed, the best next step in management is IV fluids after obtaining venous access. The best form of venous access is 2 large-bore IVs in the periphery and/or central venous access. Applying direct pressure to the abdomen (a) does not treat the underlying cause. Getting an abdominal x-ray (b) will take too long for a patient with this rate of blood loss. IV antibiotics (c) may be needed later in the care of this patient, but stabilizing blood pressure is now the more urgent need. Surgical consent (e) is implied in a life-threatening emergency in which a patient cannot communicate his wishes.
Question No : 4
A child with a small head, minor anomalies of the face including a thin upper lip, growth delay, and developmental disability can have all of the following, except:
The features given can occur as a part of a chromosomal / teratogenic / mendelian syndrome. Polygenic in answer of exclusion. In a polygenic inheritance, multiple genes are involved in the phenotypic expression. of polygenic inheritance are hypertension and diabetes.
Question No : 5
A 78-year-old woman is admitted to the intensive care unit for acute pulmonary edema. She has rales to the apices and Jugular vein distention. Her EKG shows ventricular tachycardia.
Which of the following is the best therapy?
Synchronized cardioversion is used when ventricular tachycardia is associated with acute pulmonary edema. Unsynchronized cardioversion is used for ventricular fibrillation or ventricular tachycardia without a pulse. Medical therapy, such as lidocaine, amiodarone, or procainamide, can be used for sustained ventricular tachycardia that is hemodynamically stable.
Question No : 6
A homeless lady presents with cough and fever. She complains of night sweats and weight loss. CXR has opacity.
What is the next appropriate management?
Cough and fever and night sweat and weight loss are very suggestive of TB. She should do AF investigation.
Question No : 7
A 75 year’s lady who had mitral valve replacement 13 years ago has developed recurrent breathlessness. There is a prominent pulsation in her neck. She complains of abdominal pain and ankle swelling.
What is the most probably diagnosis?
Question No : 8
A 30 years' woman presents with acute headache. She complains of seeing halos especially at night.
What is likely defect?
The diagnosis is glaucoma (headache and haloes especially at night). In glaucoma the vision.
Question No : 9
A 75-yearold man has been attending the clinic for lower urinary tract symptoms. His mood is very low and he is unhappy, anxious and unable to sleep. He has been diagnosed with moderate depression.
What treatment would you use for this patient?
Mild depression = CBT, Moderate depression = Antidepressant, Severe depression & Ps = ECT, Amitriptyline and Dosulepine causes urinary retention (which is comparatively less in citalopram) so no a patient with lower urinary symptoms. Hence Citalopram is the preferred option.
Question No : 10
An asymptomatic 56years man who has never consumed alcohol came for a routine checkup. Exam: increase spider angioma, Cardiomegaly, S3 gallop, liver firm with 8cm span, no ascites.
He is in the risk of which condition?
Question No : 11
A young man comes up with a headache, which he describes that this headache is the most severe headache in his life.
Which of the following will be less useful?
Question No : 12
The patient passed a 4 mm stone in his urine. Does he have a 3mm stone in the renal pelvis found on an ultrasound?
Stones less than 5 mm in diameter pass spontaneously in up to 80% of people. -Stones between 5 mm and 10 mm in diameter pass spontaneously in about 50% of people. -Stones larger than 1 cm in diameter usually require intervention.
Question No : 13
A 61year man was found with K+=7.5 and ECG with prolong QRS complex.
What is the best possible treatment?
In this high level of potassium, we have to shift this potassium into cells to red level and save heart from arrest or life threatening arrhythmia. For keep the heart safe option of first choice in emergency is IV calcium gluconate! However, it does not shift or reduce potassium level but protects heart from buy time for definitive measure to take place.
Question No : 14
Which of following favor diagnosis of SLE?
Question No : 15
A 64 year’s man believes a female newscaster is communicating directly with him when she turns a page.
Where is he suffering from?
A delusion of reference is a type of delusion wherein the individual perceives unrelated events or objects in his/her surroundings to be of significance for himself/herself. For example, a person with schizophrenia might believe a billboard or a celebrity is sending a message meant for them.